Cotswold House

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Marlborough Inpatient Unit

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Cotswold House Marlborough Inpatient Unit

Cotswold House Marlborough has contracts with Wales and Wiltshire to provide specialist inpatient treatment.  We accept referrals from Community Mental Health Teams (CMHTs)/ Recovery Teams, GPs, consultant psychiatrists and other eating disorder services. We are happy to assess individuals with a moderate to severe eating disorder and will work with them and their referrers to decide on the most appropriate treatment option.

Criteria

We accept inpatient referrals for individuals aged 17½ and above who fulfil one or more of the following criteria:

  • Severely low weight, i.e. a Body Mass Index (BMI) of less than 17.5 usually as a result of rigid and purposeful dietary restriction
  • Recent history of rapid weight loss, e.g. more than 1 kg a week for 12 consecutive weeks, as a result of rigid and purposeful dietary restriction.
  • Severe binge eating, purging behaviours, self induced vomiting several times a day for three months or more. This may be indicated by low electrolyte levels particularly potassium and calcium.
  • Significant deterioration or no significant improvement in an eating disorder after a reasonable course of specialist outpatient therapy.
  • Severe bingeing and purging cycles that require a time limited admission of up to six weeks inpatient treatment in order to break the cycles.
  • A need for care for their eating disorder under a Section of the Mental Health Act 1983.

We have the skills to offer treatment to young people aged 16–18, where Child and Adolescent Mental Health Services (CAMHS) are not appropriate or not available. Referrals will be considered under the same referral criteria. However, all referrals need to be made by a CAMHS clinician.

Written referral

A full written referral is required to include:

  • recent details of eating disordered behaviour
  • weight loss history
  • presenting BMI
  • current physical health including blood results

All referrals should be sent or faxed to us on 01865 337450

Referrals are accepted during the hours of 09.00 – 17.00.

Out-of-county referrals

We will consider referrals from anywhere in the country (in accordance with new specialist commissioning arrangements for English referrals) for inpatient services, provided there is a bed available and the patient is suitable for admission. For out-of-county referrals in England, the referrer must have obtained permission for funding, prior to making the referral. Written confirmation with the referral of the funding arrangements and who is responsible for funding at the referral end is sufficient in the first instance.

Timescales

We aim to complete urgent assessments within 48 hours of a funded referral being received. Less urgent and routine referrals can normally be seen within 10 working days. We do not take admissions outside normal working hours for reasons of clinical safety.

If in any doubt as to whether a referral is either urgent or appropriate, please telephone to discuss. We would expect to have a clinical discussion for any patient deemed to be urgent.

 

Last updated: 23 August, 2017